Revista Panamericana de Salud Pública
Print version ISSN 1020-4989
DESLANDES, Suely Ferreira; MINAYO, Maria Cecília de Souza and LIMA, Maria Luiza Carvalho de. Emergency care for victims of accidents and violence in Brazil. Rev Panam Salud Publica [online]. 2008, vol.24, n.6, pp. 430-440. ISSN 1020-4989. http://dx.doi.org/10.1590/S1020-49892008001200007.
OBJECTIVE: To analyze positive results, challenges, limitations, and potential benefits associated with the Brazilian Policy for the Reduction of Morbidity and Mortality due to Accidents and Violence (PNRMAV) with regard to hospital emergency and urgent care services. METHODS: From 2004-2007, a study was carried out in four Brazilian state capitals and the Federal District. The following areas were evaluated: the availability of standard practices for managing victims of accident or violence; availability and quality of adult and pediatric intensive care beds; patient management training for health care professionals; communication among the health care areas to provide better care to victims; and structure and organization of hospital services. The study included an exploratory stage, fieldwork, analysis, and dissemination of data. Both quantitative (absolute and relative frequencies) and qualitative methods (analysis of interactions between explicit and inferred information from statements and field records) were employed in the analysis. RESULTS: The study revealed positive results from the implementation of PNRMAV. The following focal areas were identified: (1) the need to invest in the response capacity of primary care services, (2) the importance of strengthening and promoting the emergency and urgent care network, (3) the importance of investing in appropriate equipment and of planning maintenance so that availability is not impacted, and (4) the need to invest in continuing education for health care professionals. CONCLUSIONS: The partial success obtained with PNRMAV shows that it is possible to include the topic of violence and accidents in the public health agenda and to implement life-promoting strategies at different levels.
Keywords : Accidents; emergency medicine; health public policy; violence; Brazil.